Colostomy control device



June 6, 1950 c, F. SURFACE coLosToMY CONTROL DEVICE Filed Dec. e. 1947 Vlilla.

[NVE/vraie Carl F Surface Patented June 6, 1950 connetterti*-'eoN'rnn-ignjnvien -f @arl E.; .Surfacei lies Moines; Ici/viaAincatoifijDeceinber6, 194?? feral"No.V '795,125-

This invention reltes-.' generally@ te- .medicali instruniente?v and.;im particular to :ai colostomvA control; device for t periodically..opening. andi close ing. theeanusx of.l a ieolo'st'omyepatient;

Colostomy patients-tare generally." l'iesitantf.tol1 engage,` in.regular1 and--socialbactivitiesi because-tof;V the fear ci"lembarrassment... Althoughcolostoinn I control;v devices new;cnxrnnler.ciallylr availablev 'arev generallyz:satisiactirygt. some of?them are objectionaible" becauseiofii 'their bulk-1' whichlnakesthemzeasily discerniblein fusegttiieir inabilitylxto;properly#blockath'eanus; their.l re-i and clash-igz-ofaztlieanu'ss of.the colostomyj patient adaptent. be: worn: 'ithoutdiscernmentcaipableoifeectively,.blocking the 'paseage ofl`4 fecal:material: through the/anus..

A1J feature.: oit this: invention g isi found.V in? 1 the provisoziof-.a.'colostorny.l control' device ini which y a resilient tubularfrnemberis=formed1a`t one; end with I ai hollow, extendibleflandll contractiblehead membenioialdis'cf shapefadapted toi be' extendedaxiaiflyiaoffzthextuloulaneniember.

Theotlier. ends.

of: the-z tulnilarfl memberf: projects .through and is'vattaGhedJiito-:f a.:- :disc or v:parl member. .havingy anY annnlarortionfore contacting. the". abdominal Walla? O feithefVciolosto'rn-y..patient about? ltherl outer. V end of the anus formed insuch Wall.` 'lille-tribul lar meinblelubetweenithedisc" member: and theheadi be 1.;:;is,:of; allengtrr substantially equal"v to ith tlnelgnesfsof; thea abdominal wal-1, vv'vh'ereb'ir` 011i Oflthei'shead-r memberthe'tubular" is inseliablef within? the "anus-f to posi? cada mendberrWithinthe. intestine i ofVV 'Iheil heaetsmemberf, on beingy con.-Htgtdiis, .adapted 110? contactthe" abdominal v wall-aboutftheinnerfendmifthe anus. so. astto eiectiyel Ast opftlie a'ssagaoiziecaldisenarge from the-.intestinecthrougtheanus;

Further", objects, featuresflsandi advantages? ofthispfiiI-LlintoniiWilke become?.`apparentv from? the@ ssi followingdescription Vwhen taken inceifineetion.`

Wtli` the accompany-ing drawings, in which:-

-Fignl'is a side elevational view-ofthe colostcmycontrol device -ofthis. invention, with parts iz'fshoWn-in: section,showing the device inits .as-fv semblyor used Desi-.tion Within the. anus of'.v a.

colo'stoiny patient; f

sertingnthe colostomy control; device. IWithinthe with-referenceminiediawings; ihefccmstomy' device ofthisrinvention,...indicatedeenerally' at i is shown Fig. 1 ini itsposition'witliin" an. anusr il l of y colost'omyi patient 'for blockinglor;

stopping the passage'ofifcal material Lfr'or'n the? alimen-tary' canallor Vi tine! [2 through the.

anus, The anus itis: illustratedaslbeing-.forine'd in. the-abdominal'Wall,A clesignated 'generally aS,"

I3;` and comprising 'an epith" eliunfigy layer t4, and, a"

VA-.pe rit0ne'a l" lining. l 6,' .s oj. tliai,` the'l'thicln'ss "of theabdominal' wall is eguali to" the' combined thick? 1j nessesjoi theepitheliuri"layer'iand'the peritoneal? lining;

In colostomy .operatl'onsvthe discharge end l 'It ii? of theintestines.' l 2`v is: usually "securedto the "inner end' wofthev anusfllf' so that'a. portion" t9 ofthe; intestine extends; inAai.sulcrstanti'ally` parallell re-'f lation"alongthe'ini'ier'siirfaceAof the peritoneal* lining it and about the inner' endl'ofthe anus.

@The intestine portion I9 thus" constitutes a sub? stantially annularshouliderwithinthe: intestine at itsV junction with: the: abdominal`Wall'.

TheY colostomy devicelmincludes a'.tubular"Y memberl oia--rubbenoi'flike resilientcomposie'4 member 22de -concenti^icallyarranged' vrelative toV the tubular' memberlsofastube-*capableofy ex'-l.iensionin' substantiaif-axiai augnment-witn nie.

tubular member. It is contemplatedffthat"the' wall of the tubularAmember A2-I'sb'eA ola somewhatgreater thick'n'ese than" the 'Walibi'*theY hollow* head "inember 2i? to iprov-ide some -rigidityin the50-.itubular-memb`er'; and=to5=faci1itate the expansion-- I andcontraction of'th'e head menfiberZZ.

Thev outer orV opposite endf 23E off? thai-tubularelevatioiiai view, iillustrated?.

ably connected with a disc or pad member 21 of an aluminum composition,and of a substantially saucer shape. The central section 28 of the discis depressed and formed with a center opening 29. From the depressedsection 28, the disc is curved outwardly and then inwardly so that itsperipheral section 3I is adapted to contact the outer surface of theepithelium layer I4 at a spaced position about the outer end 32 of theanus I I.

The disc opening 29 is of a diameter substantially equal to the diameterof the tubular member 2l, so that on insertion of the circumferentialbead 24 through the opening 29, the wall of the opening is receivedwithin the recess 33 between the beads 24 and 26 so to to be infrictional releasable engagement with the inner adjacent sides of thebeads 24 and 26 and with the bottom of the recess 33. Stated otherwise,the beads 24 and 26 are arranged at opposite sides of the disc member 21in what might be termed a grommet connection with the disc.

In the use of the colostomy device the head member 22 is extended by theprovision of a pin member 34 of a wood or other suitable material (Figs.2 and 4) of a length greater than the tubular member 2| and adapted tobe inserted within the tube through its open outer end 23. By pressingthe pin 34 inwardly of the tube 2| and against the wall section 3E ofthe head member 22, the head member is axially extended Vto its positionillustrated in Fig. 2, whereby the tubular member 2| is readilyinsertable within the anus II. In the insertion of the tubular member 2lwithin the anus, the rim portion 31 of the head member 22 is readilycollapsed by the anus wall on its passage through the anus.

It is contemplated that the length of the tubular member 2i between thecircumferential bead 26 and the head member 22, be substantially equalto the thickness of the abdominal wall I3. As a result, on insertion ofthe tubular member 2l within the anus II, to a position defined by theengagement of the disc 21 with the outer surface of the abdominal wallI3, the head member 22 is positioned within the intestine I2 inwardly ofthe shoulder portion I9. On removal of the pin 34. from within thetubular member "2 I, the head member 22 is permitted to contract to itsposition illustrated in Fig. l, so that its peripheral section 31 movesinto contact engagement with the intestine shoulder I9. The inner end I8of the anus I i is thus completely blocked so as to prevent the passageof fecal material from the intestine i2 therethrough.

From a consideration of Fig. l, it will be apparent that any pressurebuilt up by the fecal material within the intestine I2, will act to holdthe shoulder IS and peripheral or rim section 31 in closer contactengagement. Further, the resiliency of the head member 22 prevents theapplication of any pressure, on contraction of the head member 22, frombeing applied on the intestine 52 or against the abdominal wall I3 so asto effect any uncomfortable feeling to the colostomy patient.

Any liquid seepage from about the head member 22 and through the anus lI about the tubular member 2i is prevented from passing outwardly fromunder the disc 21 by merely arranging a suitable pad material (notshown) within the space 38 formed between the outer surface of theabdominal wall I3 and the outward convexly curved section 39 of the discmember 21. It will beunderstood, of course, that a flexible belt or`girdle (not shown) is worn by the colostomy patient so as to extend overthe disc 21.

In the removal of the colostomy device the pin 34 is re-inserted withinthe tubular member 2I and manipulated to again extend the head member22. With the head member 22 in its extended position, as shown in Fig.2', the device is moved outwardly from the anus II.

From a consideration of the above description, it is seen that theinvention provides a colostomy control device which is of a compact andsimple construction, and readily and conveniently manipulated for thepurpose of periodically opening and closing the anus II. When the deviceis in use, the colostomy patient need only carry about with him the pin34 which can be readily carried within a pocket or a purse. It isapparent, of course, that a pencil or the like would be used in place ofthe pin 34 in emergency cases.

The abdominal wall I3, varies in thickness for different persons. Thetubular member 2|, therefore, will thus vary in length according to thethickness of the abdominal wall. It will be appreciated also that thetubular member 2I will deteriorate as a result of the action thereon ofthe fecal material discharged from the intestine I2. By virtue of thedetachable connection of the tubular member 2I with the disc member 21it is only necessary, under such conditions, to replace the tubularmember 2l Although the invention has been described and illustrated withrespect to a preferred embodiment thereof, it is to be understood thatit is not to be so limited since changes can be made therein which arewithin thefull intended scope of the invention as defined by theappended claims.

I claim:

i. A device for periodically opening and closing the anus of a colostomypatient, comprising a disc member having a depressed center portionformed with a central opening and an inwardly curved peripheral portionadapted to contact the abdominal wall of the patient about the outer endof said anus, a tubular member insertable within said anus and formed atone end with a resilient hollow extendible and contractible head memberof a disc shape, with said head member being open to the space withinsaid tubular member, and means for attaching the other end of saidtubular member with said disc member at the central opening therein,said head member, on extension thereof, being insertable through saidanus and into the intestine of the patient, and said tubular memberbeing of a length between said disc member and head member substantiallyequal to the thickness of the abdominal wall whereby said head member,on contraction thereof, is engageable with the abdominal wall about theinner end of said anus so as to block the discharge of fecal materialfrom the intestine through said anus.

2. A device for periodically opening and closing the anus of a colostomypatient, comprising a resilient tubular member integrally formed at oneend with aY hollow disc shape head member open to said tubular memberand capable of being extended into substantial axial alignment with saidtubular member, a pair of axially spaced circumferential beads at theother end of'said tubular member, with said tubular member, between theinner one of said beads and said head member, having a lengthsubstantially equal to the thickness of the abdominal wall of thepatient, and a disc member formed with a central opening therein adaptedto receive the other end of the tubular member such that said pair ofribs are arranged at opposite sides o'f said disc and in releasablefrictional engagement with the surface portions thereof surrounding saidopening, with the peripheral portion of said disc being adapted tocontact the abdominal wall about the outer end of said anus, saidtubular member. on extension of said head member, being insertablewithin said anus to position the head member within the intestine of thepatient, and said head member, on contraction thereof,y being adapted toengage the abdominal Wall about the inner end of said anus whereby toblock the passage 0f fecal material from said intestine through saidanus.

3. A device for periodically opening and closing the anus of a colostomypatient, comprising a disc member having a central opening therein andformed with an annular -portion adapted to contact the abdominal wall ofthe patient about the outer end of said anus, a tubular member having anextensible and contractible hollow head member of a disc shape at oneend adapted to be extended into substantial axial alignment 6 the otherend of said tubular member with said disc member at the central openingtherein, and a pin member insertable within said tubular member forextending said head member. with said tubular member having a lengthbetween said head member and disc member substantially equal to thethickness of said abdominal Wall, said head member, on extensionthereof,

being insertable within said anus to a position with said tubularmember, means for connecting within the intestine of the patient, suchthat on contraction, thereof, by withdrawal of said pin member, saidhead member is engageable with the abdominal wall about the inner end ofsaid anus so as to block the passage of fecal material from saidintestine through said anus.

CARL F. SURFACE.

REFERENCES CITED The following references are of record in the lle ofthis patent:

UNITED STATES PATENTS Number Name Date 2,243,529 Grossman May 27, 19412,324,520 Lamson July 20, 1943

